Data were transcribed and stored in password-protected folders an

Data were transcribed and stored in password-protected folders and each transcript was checked by investigators for accuracy and quality of transcription. Textual data from transcripts of interviews as well as notes and observations of facilities and service delivery recorded during fieldwork were analysed through a combination of deductive and inductive Pazopanib VEGFR inhibitor techniques in the ‘framework’ approach

of qualitative analysis for applied policy research18 using ATLAS.ti7 software. Themes were developed in three iterations: in the first stage, the lead researcher from each state applied a priori codes and closely perused transcripts to devise emergent codes, with the support of the Research Associate. The a priori codes were based on our research questions, reflecting experiences, interpretations and meanings of integration. Emergent codes were used to describe the content or categories of these experiences, interpretations and meanings. Researchers coded 20% of each other’s state data sets to ensure that codes were being applied in a similar, uniform manner. In the second stage, agreement and consolidation of emergent codes across three sites took place under the

direction of the study lead; these were then applied to data from each state by its respective lead researcher. Concurrently, lead researchers developed super codes, or analytic codes, to group emergent codes. The study lead finalised and then indexed these codes across sites to arrive at results. Emergent and analytic code families were used to develop analyses,

involving sharing of data and consultation across sites. In this paper, we focus on emergent codes related to the experiences and interpretations of integration. Results We found that facilitators of integration emerged from individual and interpersonal relationships, while barriers were identified at the systems level (table 1). Table 1 Summary of findings Facilitators at the individual/interpersonal level Collegiality between practitioners within facilities Interpersonal collegiality was reported between and across some TCA and allopathic practitioners. In Meghalaya, an allopathic medical officer noted that in some places Ayurvedic and Homoeopathic doctors were collaborating closely with their allopathic colleagues, expressing an interest in learning more about allopathic practices. In the same state, an AYUSH doctor described cordial Batimastat relations with the administration, such that when medicine stockouts happened, the allopathic medical officer supplied stopgap funds to acquire medicines. Stature of TCA doctors Another aspect was the ‘stature’ of individual practitioners. In Kerala, an Ayurvedic practitioner noted that: “Nobody can question . If he says that taking chavanaprasham (health paste) will lead to DNA repair, then nobody can question because they are saying with authority. They are beyond questioning.

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